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Microcytic anemia (low MCV, typically below 80 fL) most commonly indicates iron deficiency, thalassemia, or anemia of chronic disease
Those who follow a vegetarian or vegan diet are more likely to be deficient as Vitamin B12 is mainly found in animal-based products
People who take certain medications may also be at risk of vitamin B12 deficiency, including, but not limited to, estrogen, H2 receptor antagonists, PPIs (Proton Pump Inhibitors), Chloramphenicol, and Metformin
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